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Oncoplastic Breast-Conserving Surgery for Upper Inner Quadrant Breast Cancer Using Pedicled Pectoralis Major
Jie Jie Hu1, Chengdong Qin1, Siyuan Liu1,2
1Breast Cancer Department, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, 310022, People's Republic of China.
Cancer Management and Research
|December 16, 2024
Summary
Oncoplastic breast-conserving surgery (OBCS) using a pectoralis major myofascial flap (PMMF) provides excellent cosmetic results for upper inner quadrant breast tumors. This technique ensures oncological safety with no observed recurrences or metastases.
Area of Science:
- Oncology
- Plastic Surgery
- Breast Surgery
Background:
- Oncoplastic breast-conserving surgery (OBCS) balances cancer removal with aesthetic outcomes.
- Upper inner quadrant (UIQ) tumors present unique challenges for cosmetic results in OBCS.
- Preserving oncological integrity while achieving satisfactory cosmetic results is complex for UIQ tumors.
Purpose of the Study:
- To evaluate the efficacy of OBCS using a pedicled pectoralis major myofascial flap (PMMF) for UIQ breast cancer.
- To assess oncological safety and cosmetic outcomes in patients undergoing this procedure.
Main Methods:
- Retrospective analysis of 15 patients with UIQ breast cancer treated with OBCS and PMMF.
- Data collection included medical records, preoperative imaging, and postoperative outcomes.
Main Results:
- The study demonstrated good cosmetic results and high patient satisfaction following OBCS for UIQ tumors.
- No instances of tumor recurrence or metastasis were reported in the study cohort.
- The PMMF technique showed a reliable blood supply and ease of mastery.
Conclusions:
- PMMF is a reliable and effective technique for OBCS in UIQ breast cancer.
- The procedure offers minimal surgical trauma and functional impact.
- OBCS with PMMF achieves favorable oncological and aesthetic outcomes for UIQ breast tumors.
